Anxiety Disorders and Treatment Process

Updated: 31 Oct, 2017 &nbsp
Anxiety

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In daily life people go through an unusual situation. Sometimes they feel bad to be adjusted with the normal situation. This is often caused from anxiety. Most of the time anxiety drives disorders in life. These disorders developed the irrigative situation. They need to receive treatment. This kind of treatment is crying need for the people to live in peace. There are some universal ways by which anxiety disorders may be treated.

Acute anxiety:
Patients with significant discomfort from their anxiety can benefit from emergency anxiolytic treatment, primarily with a benzodiazepine. In addition to ED treatment, patients in an acute anxious state of such severity that they pose a danger to themselves or to others should have a psychiatric consultation.

In the best of circumstances, a calm environment and social support from family, friends, and the emergency staff are ideal. For patients with more severe anxiety, a short course of a fast-acting anxiolytic agent is recommended. Chronic anxiety requires a comprehensive approach; the best pharmacotherapy varies for each individual, and outpatient follow-up with a psychiatrist is recommended. However, these patients can be discharged on a short course of benzodiazepines until they see a psychiatrist. Patients who express suicidal or homicidal thoughts should have an emergent psychiatric evaluation in the ED.

Panic disorder:
Pharmacotherapy, cognitive and behavioral psychotherapy, and other psychological treatment modalities are all used to treat panic disorder. The 2011 American Psychiatric Association practice guideline for the treatment of patients with panic disorders strongly recommends SSRIs, other pharmacotherapy, or CBT as initial treatment. According to the guideline, there is insufficient evidence to recommend any of these pharmacological or psychosocial approaches as superior to the others, or to routinely prescribe a combination of treatments over immunotherapy. Patient preference and the availability of pharmacotherapy and specialized psychosocial treatments should be taken into consideration when choosing initial therapy for panic disorder.

Reassure and calm the patient. Untreated panic attacks can subside spontaneously within 20-30 minutes, especially with reassurance and a calming environment. Transport the patient to a medical treatment facility to exclude medical causes for the first attack or when suspected on subsequent attacks. The 2011 APA guidelines support this recommendation.

Diagnosis process of anxiety-
First of all they need to precede the treatment of anxiety. Deciding which treatment or combination of treatments to prescribe depends on a careful interview and assessment of the patient's goals and level of pathology. The outcome of treatment is determined by several factors, including the following:

1. Specific type of anxiety disorder. This system may help the identification of the patient. Patient should be considered as the problematic one.

2. Severity of diagnosis in the long run process. This kind of identification is need to develop the controlling system.

3. level of functioning prior to onset of symptoms in the run of the function. As so far they can modify the anxiety affected person.

4. Degree of motivation for treatment that would be beneficial for patient to overcome the situation.

5. To increase the level of support. That can be initiated at the root level. Such as family, friends, work, school etc

6. Ability to comply with medication and/or psychotherapeutic regimen in the hospital or psychology center.

Generalized anxiety disorder:
Successful treatment approaches generally involve medication combined with psychotherapy. However, cognitive-behavioral therapy (CBT) has been proven superior in placebo-controlled trials. CBT generally includes self-reward as well as problem solving and can be as effective as medications, especially for children with mild generalized anxiety disorder.

Combining CBT with medications is extremely helpful in resistant cases.Other psychotherapies, such as relaxation therapy, supportive psychotherapy, or mindfulness therapy, have been used if CBT is not appropriate.

Indications for hospitalization include the following-

1. Severe functional impairment (cannot meet own daily needs)

2. Suicide or homicide risk

3. Social skills deficits (eg, the person is so preoccupied that he or she is unaware that his or her actions and behaviors have the potential to provoke others to cause harm)

Emotional intelligence is a protective factor for suicidal behavior; thus, this should be assessed as part of the decision regarding need for a psychiatric hospitalization.

On the analysis of anxiety affected person, researchers show that every maximum people feel anxiety due to hyper tension and mental disorders. It is a great problem for society after all for the individual one. None can get evade from this when it arise. But by practicing the above treatment on may be relieve from this kind of uneven situation. So be faithful on one’s ability and try to be normal in regular life. It is key to be happy in every circumstance.

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